DR. MARIEGRACE WITHAM, D.O.

Family Medicine

Active Individual
NPI: 1164496519

Practice Address

385 TREMONT AVE
East Orange, NJ 07018

Phone: (973) 676-1000

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 25MB06436600 (NJ)

Frequently Asked Questions

NPI 1164496519 is the National Provider Identifier for DR. MARIEGRACE WITHAM, D.O., a Family Medicine provider located in East Orange, NJ. This NPI was enumerated on February 14, 2006.
DR. MARIEGRACE WITHAM, D.O. practices at 385 TREMONT AVE, East Orange, NJ 07018.

Quick Facts

NPI
1164496519
Type
Individual
Enumerated
Feb 14, 2006
Last Updated
Feb 1, 2019

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